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Item 17 - Construction Contract to PCN3, Inc. for the Newhope Library
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Item 17 - Construction Contract to PCN3, Inc. for the Newhope Library
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1/22/2025 1:53:42 PM
Creation date
9/11/2024 10:09:21 AM
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City Clerk
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Agenda Packet
Agency
Public Works
Item #
17
Date
9/17/2024
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EXHIBIT 6 <br />State of California - Department of Fish and Wildlife <br />2024 ENVIRONMENTAL DOCUMENT FILING FEE <br />. <br />CASH RECEIPT <br />DFW 753.5a (REV. 01101123) Previously DFG 753.5a <br />- = I?rinL Sta er � Save <br />RECEIPT NUMBER: <br />30 -- 08/26/2024 — 0722 <br />STATE CLEARINGHOUSE NUMBER (if applicable) <br />SEE INSTRUCTIONS ON REVERSE. TYPE OR PRINT CLEARLY, <br />LEADAGENCY LEADAGENCY EMAIL DATE <br />CITY OF SANTA ANA 08/26/2024 <br />COUNTYfSTATE AGENCY OF FILING <br />l7range P <br />PROJECT TITLE <br />NEWHOPE AND DELHI LIBRARY IMPROVEMENTS <br />)OCUMENT NUMBER <br />202485000732 <br />PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL PHONE NUMBER <br />CITY OF SANTA ANA, PUBLIC WORKS AGENCY (714 ) 647-5624 <br />PROJECT APPLICANT ADDRESS CITY STATE ZIP CODE <br />20 CIVIC CENTER PLAZA (M-36) SANTA ANA CA. 92702 <br />PROJECT APPLICANT (Checkappropriate box) <br />© Local Public Agency ❑ School District El other Special District State Agency Private Entity <br />CHECK APPLICABLE FEES: <br />❑ Environmental Impact Report (EIR) <br />❑ MitigaledlNegative Declaration (MND)(ND) <br />❑ Certified Regulatory Program (CRP) document -payment due directly to CDFW <br />E] Exempt from fee <br />© Nofce of Exemption (attach) <br />❑ CDFW No Effect Determination (attach) <br />[] Fee previously paid (attach previously issued cash receipt copy) <br />$4,051.25 $ 0.00 <br />$2,916.75 $ 0.00 <br />$1,377.25 $ 0.00 <br />❑ aoa <br />Water Right Application or Petition Fee (State Water Resources Control Board only) $850.00 $ <br />. <br />❑ County documentary handling fee $ <br />)� Other $ <br />PAYMENT METHOD: <br />[I Cash El Credit © Check ❑ Other TOTAL RECEIVED $ 0.00 <br />SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE <br />�( CARINA HERRERA, DEPUTY <br />omoiNAL - PROJECT APPLICANT COPY- GDMA96 COPY • LEAD AGENCY COPY • couNTY CLEkK oFW 753.5a (Rev. 0110112023) <br />
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